A 45 year old mechanic presents with a reducible swelling in the groin, impulse on coughing is present. He has mild dragging pain in the abdomen, otherwise he’s normal. What is the best management strategy?

The key is B. Elective herniorrhaphy. [Usually before the age of 30, recurrence rate of hernia after herniotomy is much less but after 30 recurrence is high. So Herniotomy is done at the age less than 30. As the presenting case is of 45 yrs we should do herniorrhaphy in this patient].